Confidentiality Request Form (PDF 229.84 KB) to your health insurance company. You can also call your health insurance company to request confidentiality.
Important! You have the right to have your personal health information sent to you instead of the person who pays for your health insurance plan. You must let your health insurance company know where to send this information or they’ll send it to the address on file. To make this request, print, complete, sign and send thisBy law, your health plan can't disclose your information if it's related to these health care services:
- Reproductive health
- Sexually transmitted diseases
- Substance use disorder
- Gender dysphoria
- Gender affirming care
- Domestic violence
- Mental health
However, the default for the health plan is to send this information to you at the address on file, unless you request to have it sent somewhere else.
Privacy for anyone age 18 and younger
Under Washington state law, if you're age 18 or younger and old enough to consent to your own health care services, your health plan should not release any personal health information about those services, unless you tell them in writing it's OK. This includes:
- Mailing bills or Explanation of Benefits (EOBs) to a policyholder or other covered people.
- Calling the home to confirm appointments.
- Mailing appointment notices.